Revised 04/2018
5 East Pine S
treet
P.O. Box 743
Georgetown, DE 19947
Phone: (302) 855-7875
Fax: (302) 853-5871
sussexcountyde.gov
Street Address
City, State, ZIP
Date of Death
_____________________________________
Signature
Please make all checks payable to Sussex County Register of Wills.
Register of Wills
SHORT CERTIFICATE REQUEST FORM
Dear Clerk,
This is a request for sealed Short Certificate(s) for a Probated Estate that is currently
on file with your office. I have enclosed a check for $3 per Short Certificate, as well
as a self-addressed, stamped envelope to have the Short Certificate(s) mailed.
I am requesting Short Certificate(s).
Requester’s Name
Street Address
City, State, ZIP
Phone
Estate Of